<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    {:token()}
    <input type="hidden" name="row[id]" value="{$row.id}">
    <div class="form-group">
        <label for="c-money" class="control-label col-xs-12 col-sm-2">{:__('SurplusMoney')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input id="c-money" data-rule="" class="form-control" name="" type="text" value="{$row.money}" disabled="disabled">
        </div>
    </div>
    <div class="form-group">
        <label for="inc_dec" class="control-label col-xs-12 col-sm-2">{:__('Inc/Dec')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input type="radio" name="row[inc_dec]" value="1" checked/> {:__('Inc')}
            <input type="radio" name="row[inc_dec]" value="2" /> {:__('Dec')}
        </div>
    </div>
    <div class="form-group">
        <label for="c-number" class="control-label col-xs-12 col-sm-2">{:__('EditNumber')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input id="c-number" data-rule="required" class="form-control" name="row[number]" type="number" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-memo" class="control-label col-xs-12 col-sm-2">{:__('Remarks')}:</label>
        <div class="col-xs-12 col-sm-4">
            <input id="c-memo" data-rule="" class="form-control" name="row[memo]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
